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Catheter-associated septic thrombophlebitis

R N Garrison, J D Richardson, D E Fry

    Southern Medical Journal
    |August 1, 1982
    PubMed
    Summary
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    Surgical excision of infected veins effectively treats septic thrombophlebitis, a condition often caused by plastic catheters. Prevention involves strict asepsis and regular rotation of infusion sites to avoid serious infection.

    Area of Science:

    • Infectious Diseases
    • Vascular Surgery
    • Clinical Medicine

    Background:

    • Septic thrombophlebitis is a serious condition often associated with indwelling venous catheters.
    • Prompt diagnosis and effective management are crucial to prevent complications.

    Purpose of the Study:

    • To review the clinical presentation and management outcomes of septic thrombophlebitis.
    • To identify causative organisms and assess treatment efficacy.

    Main Methods:

    • Retrospective review of 35 patients diagnosed with septic thrombophlebitis over seven years.
    • Analysis of clinical data, including patient demographics, symptoms, causative organisms, and treatment interventions.

    Main Results:

    • Fever (94%) and local inflammation (94%) were common at diagnosis. Pus expressed from the infusion site occurred in 71% of patients.

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  • Klebsiella-Enterobacter was the dominant organism. Surgical excision of the infected vein led to rapid fever lysis in 60% of cases.

    • Conclusions:

    • Septic thrombophlebitis management requires surgical excision of the infected vein as the primary treatment.
    • Strict aseptic techniques and timely rotation of infusion sites (every 48 hours) are essential for prevention.